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1972071173
MICHELLE HOPE BACON
LAKELAND, FL
NPI
1972071173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9259084)
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
MICHELLE HOPE BACON APRN
6421 CALUSA DR
LAKELAND, FL 33813-3710
Phone number: 863-899-9503
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Mailing Address
MICHELLE HOPE BACON APRN
6421 CALUSA DR
LAKELAND, FL 33813-3710
Phone number: 863-899-9503
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